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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Question for the Doctor's Post above: You mention that the highest percentage you treat are hand, etc., while the highest percentage you refer are head injuries.  This seems logical since i don't know how many patients with head injuries would normally first see an ortho surgeon.  Please correct me if i am wrong.  What is the % of head injury referrals for lax injuries versus hand/soft tissue that you proceed to treat?  I am not quarreling with anything you say which seems reasonable and it makes sense that the more participants in lax the higher the raw number of injuries versus football which may both be in decline as well as in a reinvention mode in terms of avoiding head injuries and taking seriously those that occur (versus "got his bell rung" mentality).

Just trying to probe a little more because you have first-hand experience.  Thanks for your input.

PS -  I recognize this interrupts the Madlax-VLC battle.  IMO this makes the sport look childish and feeds the perception of the sport by others as non-serious.   [/quote]

Our practice group has numerous specialists including neck and spine specialists, and we see a number of patients that are referred by or to other specialist groups. To clarify, I introduce no clinical data or conclusions here but there are researchers at Hopkins, GW and other regional university hospitals which do specialize in head trauma. Hence, we would refer a head trauma case to one of those specialist groups. I treat a lot of hand bone and tissue cases for lacrosse and note there are increased trends we have observed for head trauma for youth and high school aged participants, but that the research in this field for size or age deltas among participants is scarce thus far. If I were giving advice, I would advise parents to be cautious about what is commonly termed as playing u[b]p into higher age participant categories[/b] because of the size and strength variances.[/quote]

Thanks for the information. Unfortunately many of us are not playing our kids up,[b] other parents are playing their kids down[/b].

The lacrosse leagues categorize kids by graduation year in HS not their age so a 2018 graduate could have been born 9/1/2000-8/31/2002. There could be a full TWO year difference in age. The schools that encourage this have many fall hold backs, making them up to 2 years older than a regular senior and 3 years older than a junior. I agree that Freshman should not play Varsity contact sports unless they went through an early puberty or are held back themselves (most are). But even if a child is a normal size they are forced to compete against kids that should already be in college or not play the sport. [/quote]

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